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Score for Neonatal Acute Physiology: A Physiologic Severity Index for Neonatal Intensive Care
Abstract
The substantial variation in birth weight-adjusted mortality among neonatal intensive care units (NICUs) may reflect differences in population illness severity. Development of an illness severity measure is essential for comparisons of outcomes. The Score for Neonatal Acute Physiology (SNAP) was developed and validated prospectively on 1643 admissions (114 deaths) in three NICUs. SNAP scores the worst physiologic derangements in each organ system in the first 24 hours. SNAP showed little correlation with birth weight and was highly predictive of neonatal mortality even within narrow birth weight strata. It was capable of separating patients into groups with 2 to 20 times higher mortality risk. It also correlated highly with other indicators of severity including nursing workload (r = .59), therapeutic intensity (r = .78), physician estimates of mortality risk (r = .65), and length of stay (R2 = .59). SNAP is an important new tool for NICU research.
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Citations
Cited by
PRISM III: An updated Pediatric Risk of Mortality score
Pollack, M. M., Patel, K. M., & Ruttimann, U. E. (1996) · Critical Care Medicine · doi:10.1097/00003246-199605000-00004 · Cited by 1,759
The International Neonatal Network (1993) · The Lancet · doi:10.1016/0140-6736(93)92296-6 · Cited by 773
Rangel‐Frausto, M. S., Wiblin, T., Blumberg, H. M., Saiman, L., Patterson, J., Rinaldi, M., Pfaller, M., Edwards, Jr., Jarvis, W., Dawson, J., et al. (1999) · Clinical Infectious Diseases · doi:10.1086/520194 · Cited by 430
Temporal and anatomic risk profile of brain injury with neonatal repair of congenital heart defects
McQuillen, P. S., Barkovich, A. J., Hamrick, S. E. G., Perez, M., Ward, P., Glidden, D. V., Azakie, A., Karl, T., & Miller, S. P. (2007) · Stroke · doi:10.1161/01.str.0000247941.41234.90 · Cited by 379
The Pediatric Risk of Mortality Score: Update 2015*
Pollack, M. M., Holubkov, R., Funai, T., Dean, J. M., Berger, J. T., Wessel, D. L., Meert, K., Berg, R. A., Newth, C. J. L., Harrison, R. E., et al. (2016) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000000558 · Cited by 274
Metadata
- Authors
- Richardson, D. K., Gray, J. E., McCormick, M. C., Workman, K., & Goldmann, D. A.
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 1993-03-01
- Volume
- 91
- Issue
- 3
- Pages
- 617-623
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W1493951076
- Cited by
- 666
- References
- 0
- FWCI
- 15.32
- Type
- journal article
- Language
- en
- Open access
- closed
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- Richardson, D. K., Gray, J. E., McCormick, M. C., Workman, K., & Goldmann, D. A. (1993). Score for Neonatal Acute Physiology: A Physiologic Severity Index for Neonatal Intensive Care. Pediatrics. https://doi.org/10.1542/peds.91.3.617
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